45D1009361 CLIA NUMBER - ELGIN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 45D1009361
  • Facility Name: ELGIN PEDIATRICS
  • Facility Address: 218 W HWY 290
    ELGIN, TX
    ZIP 78621
  • Facility Phone: 512 281-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONATHAN DOLLISON
  • NPI Number: 1851576516
  • Taxonomy: 2080A0000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1009361
LAB Type Physician Office
Facility Name ELGIN PEDIATRICS
Street 218 W HWY 290
City ELGIN
State TX
ZIP 78621
Phone 512 281-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director JONATHAN DOLLISON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025